Trial Outcomes & Findings for Tofacitinib in Recurrent GBM Patients (NCT NCT05326464)

NCT ID: NCT05326464

Last Updated: 2026-06-29

Results Overview

Median progression-free survival from initiation of Tofacitinib until disease progression as defined by the RANO criteria, unacceptable toxicity, withdrawal of consent, or discontinuation from the trial for any other reason.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

18 participants

Primary outcome timeframe

From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.

Results posted on

2026-06-29

Participant Flow

Participant milestones

Participant milestones
Measure
Newly Diagnosed or Recurrent Off Temozolomide
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Overall Study
STARTED
9
9
Overall Study
COMPLETED
9
9
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Tofacitinib in Recurrent GBM Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Participants will take Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5. Tofacitinib 10mg: 10 mg given orally twice daily until evidence of progression, intolerance of treatment, withdrawal of consent, or death. Temozolomide: Temozolomide 150mg/m2 - 200mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 42 days Lomustine 90mg/m2 Tofacitinib 10mg: 10 mg given orally twice daily until evidence of progression, intolerance of treatment, withdrawal of consent, or death. Lomustine: Lomustine 90mg/m2 on day 1
Total
n=18 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=9 Participants
6 Participants
n=27 Participants
10 Participants
n=267 Participants
Age, Categorical
>=65 years
5 Participants
n=9 Participants
3 Participants
n=27 Participants
8 Participants
n=267 Participants
Age, Continuous
60.56 years
n=9 Participants
63.67 years
n=27 Participants
62.11 years
n=267 Participants
Sex: Female, Male
Female
4 Participants
n=9 Participants
3 Participants
n=27 Participants
7 Participants
n=267 Participants
Sex: Female, Male
Male
5 Participants
n=9 Participants
6 Participants
n=27 Participants
11 Participants
n=267 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=9 Participants
7 Participants
n=27 Participants
14 Participants
n=267 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
2 Participants
n=9 Participants
2 Participants
n=27 Participants
4 Participants
n=267 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=9 Participants
0 Participants
n=27 Participants
1 Participants
n=267 Participants
Race (NIH/OMB)
White
6 Participants
n=9 Participants
7 Participants
n=27 Participants
13 Participants
n=267 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
0 Participants
n=27 Participants
0 Participants
n=267 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=9 Participants
2 Participants
n=27 Participants
4 Participants
n=267 Participants
Region of Enrollment
United States
9 participants
n=9 Participants
9 participants
n=27 Participants
18 participants
n=267 Participants

PRIMARY outcome

Timeframe: From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.

Median progression-free survival from initiation of Tofacitinib until disease progression as defined by the RANO criteria, unacceptable toxicity, withdrawal of consent, or discontinuation from the trial for any other reason.

Outcome measures

Outcome measures
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Progression-free Survival (PFS) of the Study Cohort as Defined by RANO Criteria.
4 months
Interval 0.0 to 24.0
4 months
Interval 0.0 to 24.0

SECONDARY outcome

Timeframe: From treatment initiation until documented radiographic or clinical progression by RANO criteria or death, whichever came first, assessed up to 2 years.

Median OS of the study patients from time of study entry until death or lost to follow-up.

Outcome measures

Outcome measures
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Overall Survival (OS) of the Study Cohort.
13.1 months
Interval 0.0 to 24.0
13.1 months
Interval 0.0 to 24.0

SECONDARY outcome

Timeframe: Up to 2 years after completion of study treatment, an average of 34 months

Assess safety and tolerability associated with Tofacitinib 5 mg orally twice daily when administered to GBM patients. NCI Common terminology criteria for adverse events (CTCAE v.5) will be used to assess the adverse events.

Outcome measures

Outcome measures
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Percentage of Treatment Related Adverse Events
100 percentage of possibly related events
100 percentage of possibly related events

SECONDARY outcome

Timeframe: From treatment initiation until documented radiographic response by RANO criteria or death, whichever came first, assessed up to 2 years.

Tumor response will be assessed using contrast and non-contrast brain magnetic resonance imaging (MRI) with assessments based on the international criteria proposed by the Response Assessment in Neuro-Oncology (RANO) Working Group, until progression of disease. For patients who do not progress or die, PFS will be censored at the last adequate radiologic assessment. RANO criteria: Complete Response (CR): Complete disappearance of all enhancing measurable and non measurable disease sustained for at least 4 weeks; Partial Response (PR): ≥50% decrease compared to baseline in the sum of products of perpendicular diameters of all measurable enhancing lesions sustained for at least 4 weeks; Progressive Disease (PD): ≥25% increase in the sum of products of perpendicular diameters of enhancing lesions compared to the smallest tumor measurement obtained either at baseline (if no decrease) or best response, on stable or increasing doses of corticosteroids;

Outcome measures

Outcome measures
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 Participants
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 Participants
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Radiographic Response Rate by RANO Criteria (Number of Participants With Response)
0 participants
Interval 0.0 to 0.0
0 participants
Interval 0.0 to 0.0

Adverse Events

Newly Diagnosed or Recurrent Off Temozolomide

Serious events: 5 serious events
Other events: 9 other events
Deaths: 9 deaths

Recurrent Disease on Temozolomide

Serious events: 2 serious events
Other events: 9 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Nervous system disorders
Depressed level of consciousness
0.00%
0/9 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
General disorders
Edema
33.3%
3/9 • Number of events 3 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Investigations
Lymphocyte count decreased
33.3%
3/9 • Number of events 6 • 2 years, 10 months
11.1%
1/9 • Number of events 2 • 2 years, 10 months
Blood and lymphatic system disorders
Anemia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Neutrophil count decreased
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Hepatobiliary disorders
Hypertension
11.1%
1/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Seizure
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months

Other adverse events

Other adverse events
Measure
Newly Diagnosed or Recurrent Off Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x 28 days with Temozolomide 150mg/m2 on days 1-5
Recurrent Disease on Temozolomide
n=9 participants at risk
Tofacitinib 10mg BID x Lomustine 90mg/m2 on day 1
Nervous system disorders
Dysphasia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Facial muscle weaknes
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Injury, poisoning and procedural complications
Fall
44.4%
4/9 • Number of events 8 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Gait disturbance
44.4%
4/9 • Number of events 4 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Gastroesophageal reflux disease
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
11.1%
1/9 • Number of events 1 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Nervous system disorders
Headache
44.4%
4/9 • Number of events 8 • 2 years, 10 months
11.1%
1/9 • Number of events 2 • 2 years, 10 months
Metabolism and nutrition disorders
Hyperglycemia
33.3%
3/9 • Number of events 3 • 2 years, 10 months
11.1%
1/9 • Number of events 4 • 2 years, 10 months
Metabolism and nutrition disorders
Hypertriglyceridemia
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Metabolism and nutrition disorders
Hypokalemia
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Lymphocyte count decreased
66.7%
6/9 • Number of events 33 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Paresthesia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Platelet count decreased
66.7%
6/9 • Number of events 13 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Nervous system disorders
Seizure
33.3%
3/9 • Number of events 9 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Infections and infestations
Shingles
11.1%
1/9 • Number of events 1 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Infections and infestations
Skin Infection
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Somnolence
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Ear and labyrinth disorders
Tinnitus
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Respiratory, thoracic and mediastinal disorders
Wheezing
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Injury, poisoning and procedural complications
Wound complication
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Alanine aminotransferase increased
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Electrocardiogram T wave abnormal
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Neutrophil count decreased
11.1%
1/9 • Number of events 4 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Infections and infestations
Pharyngitis
11.1%
1/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Presyncope
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Edema cerebral
44.4%
4/9 • Number of events 4 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Vascular disorders
Hypertension
22.2%
2/9 • Number of events 4 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
General disorders
Fatigue
55.6%
5/9 • Number of events 6 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Psychiatric disorders
Insomnia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Metabolism and nutrition disorders
Weight gain
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Cognitive disturbance
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Psychiatric disorders
Confusion
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Dizziness
33.3%
3/9 • Number of events 5 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Memory impairment
33.3%
3/9 • Number of events 4 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Psychiatric disorders
Agitation
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Psychiatric disorders
Anxiety
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Tremor
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Musculoskeletal and connective tissue disorders
Blurred Vision
44.4%
4/9 • Number of events 6 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Musculoskeletal and connective tissue disorders
Back pain
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Eye disorders
Eye pain
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Oral Pain
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Constipation
33.3%
3/9 • Number of events 3 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Diarrhea
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Nausea
55.6%
5/9 • Number of events 7 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Vomiting
22.2%
2/9 • Number of events 2 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Skin and subcutaneous tissue disorders
Alopecia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Respiratory, thoracic and mediastinal disorders
Dyspnea
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Respiratory, thoracic and mediastinal disorders
Hypoxia
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Amnesia
0.00%
0/9 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Cardiac disorders
Atrial fibrillation
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
General disorders
Pain
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Infections and infestations
Sinusitis
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Abdominal Pain
33.3%
3/9 • Number of events 3 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Immune system disorders
Allergic reaction
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Immune system disorders
Allergic rhinitis
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
22.2%
2/9 • Number of events 2 • 2 years, 10 months
22.2%
2/9 • Number of events 2 • 2 years, 10 months
Nervous system disorders
Muscle Weakness left-sided
0.00%
0/9 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Blood and lymphatic system disorders
Anemia
33.3%
3/9 • Number of events 14 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Musculoskeletal and connective tissue disorders
Arthralgia
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Blood lactate dehydrogenase increased
0.00%
0/9 • 2 years, 10 months
11.1%
1/9 • Number of events 1 • 2 years, 10 months
Skin and subcutaneous tissue disorders
Bullous dermatitis
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Investigations
Cholesterol high
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Depressed level of consciousness
11.1%
1/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Eye disorders
Dry eye
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Dysarthria
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Nervous system disorders
Dysgeusia
11.1%
1/9 • Number of events 1 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months
Gastrointestinal disorders
Dyspepsia
22.2%
2/9 • Number of events 2 • 2 years, 10 months
0.00%
0/9 • 2 years, 10 months

Additional Information

Dr. Michael Youssef

University of Texas Southwestern Medical Center

Phone: 214-648-5842

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place